Kummerfeldt, Mathew

Kummerfeldt, Mathew is an individual health care provider with primary practice located at 1701 N 13Th St , Shelton WA 98584-2077. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Kummerfeldt, Mathew can be contacted via phone (360) 426-2653.

Contact Information

Primary practice address
1701 N 13Th St Shelton WA 98584-2077
Phone: (360) 426-2653
Fax: (888) 985-0681
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1285818815
LBN Legal business name Kummerfeldt, Mathew
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2007
Last updated Feb 21st, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285818815 NPPES
Washington Other 0273939 L&I
Washington Other 0275126 L&I
Washington Other 8946032 L&I
Washington MEDICAID 8502049 L&I
Washington Other 0228031 L&I
Washington Other 0275142 L&I
Washington Other P00610661 L&I

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